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Abstract

Total intravenous anaesthesia (TIVA) has many potential benefits, despite this, in many countries rates of TIVA remain low and education in the technique is lacking. This chapter considers the merits of Target Controlled Infusion (TCI) versus Manual Controlled Infusion (MCI), going on to consider appropriate dosing regimens for both hypnotic and opiate infusions. Detailed case studies are presented of induction and maintenance of general anesthesia and sedation. Appropriate doses in real life clinical scenarios are considered together with supporting evidence from published studies. A consideration of hypnotic/opiate interaction is also presented.

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Notes

  1. 1.

    *The K e0 used in the Diprifusor and implemented in Tivatrainer is 0.26 published in a poster at the WCA Australia 1996.

  2. 2.

    Tivatrainer © F. Engbers: http://www.eurosiva.org/Tivatrainer/tivatrainer_main.htm.

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Correspondence to Nicholas Sutcliffe BSc Phys, MBChB, MRCP, FRCA .

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Sutcliffe, N. (2017). TCI/TIVA Adult Case Studies. In: Absalom, A., Mason, K. (eds) Total Intravenous Anesthesia and Target Controlled Infusions. Springer, Cham. https://doi.org/10.1007/978-3-319-47609-4_23

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  • DOI: https://doi.org/10.1007/978-3-319-47609-4_23

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